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Grayson County Democratic Party Donation Form

DEMOCRATIC PARTY OF GRAYSON COUNTY DONATION FORM

DONATION FORM

Thank you for supporting the Democratic Party of Grayson County. After completing this form, you will be taken to a secure page where you can select the amount of the donation, and how you would like to donate.

If you have concerns about using an online contribution system, you can always mail donations to: The Democratic Party of Grayson County, P.O. Box 2141, Sherman, TX 75091.

If you have any trouble using this form, please email robshan1642@cableone.net or call our office at (903) 891-3063.

We use the Paypal Secure System to automate credit card donations.

If you prefer bank draft, check, or credit card processed by the Treasurer, use this form:

Click here for Bank Draft PDF Form

PLEASE FILL IN ALL FIELDS MARKED WITH AN “*”

*What is the amount of donation
you will be making today?

Sutstaining member @ $10 per month Level or $120 per year (.33 per year)

One Time Donation

BronzeMedal Sponsor, $180

Silver Medal Sponsor, $240

Gold Medal Sponsor, $300

Sustaining Member (Two People) - $40 Savings paid in full @ $200 per year

Sustaining Member (Individuals) - $20 Savings paind in full @ $100 per year

*First Name
*Last Name
*Mailing Address
*City
*State
*Zip
Home Phone
Cell Phone
*Email Address

If self employed, check box on the left and enter “self” as your employer.

*Employer
*Occupation

	Check the box to the left to confirm that the following are true and correct:
	1. I am a United States Citizen or a permanent resident alien.
	2. This contribution is not made from the general treasury funds of a corporation, labor organization, or national bank.
	3. This contribution is not made from the treasury of an entity or person who is a federal contractor.
	4. This contribution is not made from the funds of a political action committee
	5. This contribution is not made from the funds of an individual registered as a federal lobbyist or a foreign agent, or an entity that is a federally registered lobbying firm or foreign agent.
	6. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.
	Your contribution may be used in connection with federal elections and is subject to federal prohibitions and limitations. Non-federal contributions are allowed and will be accepted in accordance with state law. Contributions are not tax-deductible. We are required to collect the name, mailing address, occupation, and employer information for campaign finance reporting purposes. If you can not meet these conditions and still want to donate, contact us by email, mail or telephone.

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